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Background: Head injury (HI) has been one among leading causes of morbidity and mortality worldwide especially in the peripheries area. In South Borneo, 9.4% of trauma cases was a head injury. Especially, Tanah Bumbu Regency, one of peripheries area in South Borneo ranks third for head injuries after Tabalong and Tanah Laut Regency in 2007.
Objective: The aim of this study was to describe the characteristics of head injury patient and referral number at Dr. H. Andi Abdurrahman Noor general hospital.
Methods: All head injury patients admitted to the emergency department (ED) of Dr. H. Andi Abdurrahman Noor general Hospital in a one-year period (2017) were registered in this retrospective study. Using the total population sampling method,
413 cases of head injury during the period were included as a subject of study.
Result: This study showed that mild head injury was the most cases of head injury with 325 cases (78.2%). 61 patients were referred to a higher trauma center in 2017. Head injury was most common in 11‑20 years old age group. Men also had higher incident rate compared to women (2:1). Most of the patients were a nonstate employee. Head injury is commonly caused by traffic accident.
Conclusion: This study shows that characteristics of HI in the peripheries area such Tanah Bumbu regency are no different from other countries. Our findings suggest that several prevention steps should be taken to reduce the number of head injury based on the distribution and characteristics of head injury sustainers.
This work is licensed under a Creative Commons Attribution 4.0 International License.
- Langlois JA, Rutland-Brown W, Thomas KE. Traumatic Brain Injury in the United States: Emergency Department Visits, Hospitalizations, and Deaths. Atlanta (GA): Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. 2004, Oct. DOI: 10.1109/KIMAS.2005.1427109
- Algattas H and Huang J H. Traumatic Brain Injury Pathophysiology and Treatments: Early, Intermediate, and Late Phases Post-Injury. International Journal of Molecular Sciences. 2014; 15: 309-341. DOI: 10.3390/IJMS15010309
- Carney N, Totten AM, O’Reilly C, et al. Guidelines for the Management of Severe Traumatic Brain Injury, Fourth Edition. Neurosurgery. 2017; 80(1):6-15. DOI: 10.1227/NEU.0000000000001432.
- Kuniyoshi S, Suarez JL. Traumatic Head Injury. Critical Care of Neurology and Neurosurgery. 2004; 395-415. DOI: 10.3171/2013.1.JNS1353
- Cassidy JD, Carroll LJ, Peloso PM, et al. Systematic Search and Review Procedures: Results of the WHO Collaborating Centre Task Force on Mild Traumatic Brain Injury: Incidence, Risk Factors, and Prevention. Journal of Rehabilitation Medicine. 2004; 36 (43):11-14. DOI: 10.1080/16501960410023660
- Health Ministry of the Indonesian Republic. Riset Kesehatan Dasar Tahun 2013. Research and Developmental Health Ministry of Indonesian Republic. 2013; 3: 100-110. Available at: www.depkes.go.id/resources/download/general/Hasil%20Riskesdas%202013.pdf
- Health Ministry of South Borneo Province. Laporan Hasil Riset Kesehatan Dasar (RISKESDAS) Provinsi Kalimantan Selatan Tahun 2007. Health Ministry of South Borneo Province .2007; 3:135. Available from: http://terbitan.litbang.depkes.go.id/penerbitan/index.php
- National Collaborating Centre for Acute Care. Head injury: triage, assessment, investigation and early management of head injury in infants, children, and adults. London: National Collaborating Centre for Acute Care. 2007. Available from: https://www.ncbi.nlm.nih.gov/pubmed/21563330
- Unterberg AW, Stover J, Kress B, et al. Edema and brain trauma. Neuroscience. 2004; 129:1021–9. DOI: 10.1016/j.neuroscience.2004.06.046
- Cowley NJ, da Silva EJ. Prevention of secondary brain injury following Head Trauma. Trauma. 2008; 10:35–42. DOI: 10.1177/1460408608089322
- Population and Civilian Registration Ministry of Tanah Bumbu Regency. Laporan Catatan Jumlah Penduduk Kabupaten Tanah Bumbu Tahun 2015. Population and Civilian Registration Ministry of Tanah Bumbu Regency. 2015. Available from: http://sakip.tanahbumbukab.go.id/wp-content/uploads/2017/03/DINAS-KEPENDUDUKAN-DAN-PENCATATAN-SIPIL-2.pdf
- Jacobsson LJ, Westerberg M, Lexell J. Demographics, injury characteristics and outcome of traumatic brain injuries in northern Sweden. Acta Neurol Scand. 2007; 116:300–306. DOI: 10.1111/j.1600-0404.2007.00896.x
- Yattoo GH, Tabish A. The profile of head injuries and traumatic brain injury deaths in Kashmir. Journal of Trauma Mangement& Outcomes. 2008; 2(5). DOI: 10.1186/1752-2897-2-5
- Jagoda AS, Bazarian JJ, Bruns JJ, et al. Clinical Policy: Neuroimaging and Decision making in Adult Mild Traumatic Brain Injury in the Acute Setting. Ann Emerg Med. 2008; 52(6):714–48. DOI: 10.1016/j.annemergmed.2008.08.021.
- Wintermark M, Sanelli PC, Anzai Y, et al. Imaging evidence and recommendations for traumatic brain injury: Conventional neuroimaging techniques. J Am Coll Radiol. 2015; 12(2):1–14. DOI: 10.1016/j.jacr.2014.10.014.
- Dinh MM, Bein K, Roncal S, et al. Re-defining the golden hour for severe head injury in an urban setting: the effect of prehospital arrival times on patient outcomes. Injury, Int. J. Cared Injured. 2013; 44:606-610. DOI: 10.1016/j.injury.2012.01.011
- Saco F, Zafren K, Brown K, et al. Guidelines for the management of head injuries in remote and rural Alaska. Alaska Medicine. 2000; 42(2):37-40. Available from: http://anmc.org/wp-content/uploads/guidelines04182018/GUIDELINESHeadInjuriesRemoteRuralAK-2.pdf
- Hyder AA, Wunderlich CA, Puvanachandra P, et al. The impact of traumatic brain injuries: a global perspective. NeuroRehabilitation. 2007; 22(5):341–353. Available from: https://www.ncbi.nlm.nih.gov/pubmed/18162698
- Bhole AM, Potode R, Agrawal A, et al. Demographic profile, clinical presentation, management options in craniocerebral trauma: an experience of a rural hospital in central India. Pak J Med Sci. 2007; 23(5):724-727. Available from: https://www.pjms.com.pk/issues/octdec107
- Stenholm E, Sharma MJ. Analysis of traumatic head injury in Kathmandu, Nepal. Gothenburg University Press. 2016. Available at: https://gupea.ub.gu.se/bitstream
- Park JH, Park JE, Kim SH, et al. Outcomes of Ultra-Early Decompressive Craniectomy after Severe Traumatic Brain Injury-Treatment Outcomes after Severe TBI. Korean J Neurotrauma. 2014; 10(2):112-118. DOI: 10.13004/kjnt.2014.10.2.112
- Willer B, Dumas J, Leddy AHJ. A population-based investigation of head injuries and symptoms of concussion of children and adolescents in schools. Injury Prevention. 2004; 10: 144–148. DOI: 10.1136/ip.2003.005017
- DeGuise E, Feyz M, LeBlanc J, et al. Overview of Traumatic Brain Injury Patients at a Tertiary Trauma Centre. The Canadian Journal of Neurological Sciences. 2005; 32(2):186-193. DOI: 10.1017/S0317167100003954
- Vagnerova K, Koerner IP, Hurn PD. Gender and the Injured Brain. Anesth Analg. 2008; 107(1): 201–214. DOI:10.1213/ane.0b013e31817326a
- Colantonio A, Geber G, Bayley M, et al. Differential profiles for patients with traumatic and nontraumatic brain injury. J Rehabil Med. 2011; 43:311–315. DOI: 10.2340/16501977-0783
- Heskestad B, Baardsen R, Helseth E, et al. Incidence of hospital referred head injuries in Norway: A population-based survey from the Stavanger region. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2009; 17(6). DOI: 10.1186/1757-7241-17-6
- Schrieff LE, Thomas KGF, Dollman AK, et al. Demographic profile of severe traumatic brain injury admissions to Red Cross War Memorial Children’s Hospital, 2006 – 2011. South African Medical Journal. 2013; 103(9): 616-620. DOI: 10.7196/samj.7137
- Mosenthal AC, Lavery RF, Addis M. Isolated traumatic brain injury: age is an independent predictor of mortality and early outcome. J Trauma. 2002; 52:907-911. Available from: https://www.ncbi.nlm.nih.gov/pubmed/11988658
- Lee KK, Seow WT, Ng I. Demographical profiles of adult severe traumatic brain injury patients: implications for healthcare planning. Singapore Med J. 2006; 47(1): 31. Available from: https://www.ncbi.nlm.nih.gov/pubmed/16397718
- Kontos P, Grigorovich A, Nowrouzi B, et al. A qualitative exploration of work-related head injury: vulnerability of intersection of worker’s decision making and organizational values. BMC Public Health. 2017; 17:824. DOI: 10.1186/s12889-017-4823-5
- Mamelak AN, Pitts LH, Damron S. Predicting survival from head trauma 24 hours after injury. The Journal of Trauma-Injury Infection and Critical Care. 1996; 41(1):91-99. DOI:10.1016/j.injury.2012.01.011